| NPI | 1649058223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE M BASS Authorized Representative 601-454-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |